Schedule B/r - Beneficiary/remainderman - 2012

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File pg. 1
Schedule B/R Beneficiary/Remainderman
2012
ESTATE OR TRUST EMPLOYER IDENTIFICATION NUMBER
NAME OF ESTATE OR TRUST
BENEFICIARY’S/REMAINDERMAN’S IDENTIFICATION NO.
NAME OF BENEFICIARY/REMAINDERMAN
MAILING ADDRESS OF BENEFICIARY/REMAINDERMAN
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
Select applicable oval:
Beneficiary
Remainderman
LEGAL DOMICILE (STATE)
Total income
Percentage of income
Percentage of taxable income
BENEFICIARY’S/REMAINDERMAN’S IDENTIFICATION NO.
NAME OF BENEFICIARY/REMAINDERMAN
MAILING ADDRESS OF BENEFICIARY/REMAINDERMAN
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
Select applicable oval:
Beneficiary
Remainderman
LEGAL DOMICILE (STATE)
Total income
Percentage of income
Percentage of taxable income
BENEFICIARY’S/REMAINDERMAN’S IDENTIFICATION NO.
NAME OF BENEFICIARY/REMAINDERMAN
MAILING ADDRESS OF BENEFICIARY/REMAINDERMAN
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
Select applicable oval:
Beneficiary
Remainderman
LEGAL DOMICILE (STATE)
Total income
Percentage of income
Percentage of taxable income
BENEFICIARY’S/REMAINDERMAN’S IDENTIFICATION NO.
NAME OF BENEFICIARY/REMAINDERMAN
MAILING ADDRESS OF BENEFICIARY/REMAINDERMAN
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
Select applicable oval:
Beneficiary
Remainderman
LEGAL DOMICILE (STATE)
Total income
Percentage of income
Percentage of taxable income
INCOME SUMMARY
0 0
1
Accumulated income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
0 0
2
Total of beneficiaries’ income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
0 0
3
Accumulated capital gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
0 0
4
Total remaindermen’s income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

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